August 24, 2016, 11:47 am

Macrobid 10mg Pills $153.00

Macrobid 10mg pills $153.00 It didn’t take long for Doctor Throwafit to realize he had some ‘splainin’ to do.

Macrobid 10mg pills $153.00 You don’t tug on Superman’s cape, macrobid 10mg pills $153.00

Macrobid 10mg pills $153.00 You don’t spit into the wind…

Macrobid 10mg pills $153.00 And you don’t ever, macrobid 10mg pills $153.00 EVER mess with the nurses in the emergency department!

Macrobid 10mg pills $153.00 Srsly.


Oh my god. Macrobid 10mg pills $153.00 I need a long vacation.

I am sitting here in Starbucks for the first time in months – I can’t even remember the last time I blogged over coffee – and their microwave kept alarming. Macrobid 10mg pills $153.00 I got out of my chair to go check the alarm!

Yeah, macrobid 10mg pills $153.00 my nerves are on edge. Macrobid 10mg pills $153.00 They are playing this finger-snapping Vegas-jazz stuff over the speakers that has me buzzing like my finger is in a socket. Macrobid 10mg pills $153.00 Hey, macrobid 10mg pills $153.00 guys, macrobid 10mg pills $153.00 what does a girl gotta do for a little Motown ’round these parts?


Macrobid 10mg pills $153.00 Ah, macrobid 10mg pills $153.00 but there is a silver lining on the horizon!

Macrobid 10mg pills $153.00 I am looking forward to attending the ENA Leadership Conference in Portland, macrobid 10mg pills $153.00 Oregon in just a couple of weeks, macrobid 10mg pills $153.00 which I will cover here at Emergiblog. Macrobid 10mg pills $153.00 The link will take you to the live blog for the event.

Macrobid 10mg pills $153.00 The ENA always puts on stunning programs – literally “attend today, macrobid 10mg pills $153.00 use in practice tomorrow” information. Macrobid 10mg pills $153.00 You don’t have to be a manager to attend the Leadership Conference, macrobid 10mg pills $153.00 either. Macrobid 10mg pills $153.00 All nurses are leaders, macrobid 10mg pills $153.00 and there is more than enough in this conference for every nurse, macrobid 10mg pills $153.00 from newbie to veteran.


The department is chaotic.

Every bed full.

The hallways are impacted.

With patients. Macrobid 10mg pills $153.00 Family members. Macrobid 10mg pills $153.00 Lab techs. Macrobid 10mg pills $153.00 Portable xray machines and those who wield them.

Three ambulances waiting to give report.


What the hell do they want?

Doctors. Macrobid 10mg pills $153.00 Hospitalists. Macrobid 10mg pills $153.00 Cardiologists. Macrobid 10mg pills $153.00 Intensivists. Macrobid 10mg pills $153.00 A rare primary physician who admits their own patients.


Who want everything….STAT.

Even though nothing about their patients require STAT.

Somewhere in there is the ER physician. Macrobid 10mg pills $153.00 And the PA.

We’re on divert, macrobid 10mg pills $153.00 except no one told the three ambulances.


No place to sit.

No place to chart.

No place to stand.


And in the middle of all this…

In the middle of this bedlam.

Comes the order.

To give the first dose all the prescribed medications to the ambulatory, macrobid 10mg pills $153.00 playing, macrobid 10mg pills $153.00 giggling child with otitis media, macrobid 10mg pills $153.00 who is with a totally ambulatory, macrobid 10mg pills $153.00 fully functional, macrobid 10mg pills $153.00 totally-capable-of-going-to-the-pharmacy-and-starting-the-medication-at-home adult parent.

So what, macrobid 10mg pills $153.00 you say?

Well, macrobid 10mg pills $153.00 this means that instead of being able to discharge this ambulatory, macrobid 10mg pills $153.00 capable parent with discharge instructions and a prescription right then and there, macrobid 10mg pills $153.00 the RN must now engage in the preparation and administration of a pediatric medication.

Which means:

  • Going to the Pyxis and removing the medications, macrobid 10mg pills $153.00 say Tylenol and Zithromax, macrobid 10mg pills $153.00 from the machine.
  • Because the Hilton Hospital has no Pharmacy at night, macrobid 10mg pills $153.00 the Zithromax must be reconstituted by the RN – yep, macrobid 10mg pills $153.00 we measure it, macrobid 10mg pills $153.00 we mix it, macrobid 10mg pills $153.00 we shake it, macrobid 10mg pills $153.00 we pour it.
  • Calculating the appropriate dose based on the child’s weight (yes, macrobid 10mg pills $153.00 we have to do that, macrobid 10mg pills $153.00 even if the doctor has written a dose).
  • Pour the meds, macrobid 10mg pills $153.00 draw them up into a dosing syringe.

Macrobid 10mg pills $153.00 No biggie so far? Remember all the hell going on in the rest of the department? One nurse is tied up doing this totally unnecessary function. Macrobid 10mg pills $153.00 But it gets better because…

Macrobid 10mg pills $153.00 They have decided that decades of nursing experience is not enough to ensure appropriate safeguards in pediatric medication administration so…

  • A second nurse has to calculate and double check everything the first nurse has done and sign off on the calculations before the medication is given.

Macrobid 10mg pills $153.00 And there you have it! Two nurses taken from much more critical work to make sure ambulatory, macrobid 10mg pills $153.00 playing, macrobid 10mg pills $153.00 giggling child with otitis media gets their first dose of medication, macrobid 10mg pills $153.00 when there is no reason on God’s green earth Mommy and Daddy cannot go get the medication and start it themselves.

Macrobid 10mg pills $153.00 And why?

Macrobid 10mg pills $153.00 Because it all has to do with patient satisfaction!

If we don’t do this, macrobid 10mg pills $153.00 they don’t think we treated their child. Macrobid 10mg pills $153.00 And gosh, macrobid 10mg pills $153.00 it’s the middle of the night and who wants to wait with a tired kid at the pharmacy and what if the pharmacist is on break and what if they don’t have the cash and what if the ATM machine is broken and…..


Seriously, macrobid 10mg pills $153.00 people, macrobid 10mg pills $153.00 this is the minutiae that we have to deal with.

I want to take good care of my patients, macrobid 10mg pills $153.00 I really do. Macrobid 10mg pills $153.00 I like my patients, macrobid 10mg pills $153.00 I want to make their stay in the ER easier and more comfortable and as pain free as I can possibly make it.

I’m a good nurse. Macrobid 10mg pills $153.00 No. Macrobid 10mg pills $153.00 I’m a damn, macrobid 10mg pills $153.00 excellent nurse.

But this bullshit is killing me.

Killing me.

Oh, macrobid 10mg pills $153.00 and someday, macrobid 10mg pills $153.00 let’s go out and have a drink and I’ll tell you about the time I got the order to irrigate my patient’s ears. Macrobid 10mg pills $153.00 In fact, macrobid 10mg pills $153.00 it was on the same night. Macrobid 10mg pills $153.00 She was having a bit of trouble hearing, macrobid 10mg pills $153.00 you see. Macrobid 10mg pills $153.00 Berated me because I wasn’t doing it fast enough. Macrobid 10mg pills $153.00 She didn’t care that hypotension and a cath lab patient trumped ear wax.

Yeah, macrobid 10mg pills $153.00 I definitely need a margarita to tell that one…..

Share this:
Share this page via Email Share this page via Stumble Upon Share this page via Digg this Share this page via Facebook Share this page via Twitter

Average Rating: 4.6 out of 5 based on 296 user reviews.


  • deedoyle

    February 4, 2011 at 3:33 am

    The trials of the ER nurse, and any urgent care nurse are many. My sympathy and empathy to those who trudge daily through the maze to give the best possible patient care possible.
    Dr. Pamela Wible speaks on community-based patient-centered care at the One Path Summit in Atlanta this March 26-27. Along with 7 of her peers, Dr. Wible will join in discussions on traditional and complementary medical practices.
    For more info go to

  • John

    February 4, 2011 at 4:57 am

    Oh , My sympathy is with you. Don’t feel low. I’m sure you will get something to learn from such kind of experiences too

  • TD

    February 4, 2011 at 3:23 pm

    As an ER doc, I totally share your frustration. Our job is not to make patients happy. Our job is to make them better.

    If they wind up happy because we’ve made them better, then that is great. However, patient satisfaction is not my goal. My goal is to provide good care.

    Unfortunately, patient satisfaction is becoming more and more of a forced issue. Many ER groups are starting to use patient satisfaction ratings as a factor in determining the physicians’ pay.

    Talk about a conflict of interests!

About Me

My name is Kim, and I'm a nurse in the San Francisco Bay area. I've been a nurse for 33 years; I graduated in 1978 with my ADN. My experience is predominately Emergency and Critical Care, and I have also worked in Psychiatry and Pediatrics. I made the decision to be a nurse back in 1966 at the age of nine...

Continue reading »

Find Me On...
Twitter     Technorati

Subscribe to Emergiblog
nursing scrubs
Tall Scrubs
Tall Scrubs
Scrubs that fit!
Nursing Scrubs
and the rest of your medical uniforms you need from Scrubs Gallery.
Office of the National Nurse

Zippy Was Here

Healthcare Blogger Code of Ethics

  • Perspective
  • Confidentiality
  • Disclosure
  • Reliability
  • Courtesy

I Support the Public Library of Science

Dr. Val
Johnson & Johnson
Johnson & Johnson Health Channel
Nursing and Web 2.0

Health blogs

Medicine Blogs - Blog Catalog Blog Directory

Alltop. Seriously?! I got in?

Health Blogs - Blog Rankings